TY - JOUR
T1 - Influence of social support on asthma self-management in adolescents
AU - Sloand, Elizabeth
AU - Butz, Arlene
AU - Rhee, Hyekyun
AU - Walters, Leanne
AU - Breuninger, Kathleen
AU - Pozzo, Rosario Alejandra
AU - Barnes, Christina Marie
AU - Wicks, Mona Newsome
AU - Tumiel-Berhalter, Laurene
N1 - Funding Information:
This paper is based on a study funded by the National Institute for Nursing Research under grant: R01 NR014451 awarded to Dr. Hyekyun Rhee from 2014 to 2019. The authors wish to thank Annette Grape who made important contributions to managing and directing the PLASMA project, and to Curtis Roby for editing this manuscript. We also thank our research assistants Danielle Abramo, Angela Cardena, Caroline Horrigan, Shawn Davis, Jennifer Dolgoff, Dr. Rice, Karen Edwards, Cassie Land, and Vern Brown. Finally, we thank the teens and families for their participation in the study and the peer leaders for their dedication to the project. This work was supported the National Institute of Health/National Institute for Nursing Research (Grant number: 5R01NR014451-05).
Publisher Copyright:
© 2019 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Objective: Adolescents with asthma are influenced by peers and family. The objective was to better understand family social support and test its association with medication adherence, asthma control, and Emergency Department (ED) use. Methods: This study is a cross-sectional secondary data analysis from a randomized controlled trial with urban adolescents from three U.S. cities. Participants (12-20 years old) with asthma completed the Perceived Family Support Scale (PFS) and Horne’s Medication Adherence Report Scale (MARS). Data from both tools were classified into 2 categories- high and low (< 25th percentile) perceived family support and high (total score >10) and low medication adherence, respectively. Chi-square statistic and logistic regression were used for analysis. Results: Of the 371 participants, the majority were young (96% ≤ 17 years), African American or Bi-racial (85%), and Medicaid-insured (72%); over one-third had maternal family history of asthma. Among those on a controller medication (n = 270), only 37% reported its use ≥8 days over 2 weeks. Asthma control was poor with 50% categorized “not well controlled,” 34% “very poorly controlled.” Participants responded positively to most social support items. One item, providing and receiving social support to and from family members, was less often positively reported. Low medication adherence was significantly associated with lower perceived social support (p = 0.018). Conclusion: This study underscores the importance of family social support in understanding the extent of adolescents’ self-management, particularly medication adherence.
AB - Objective: Adolescents with asthma are influenced by peers and family. The objective was to better understand family social support and test its association with medication adherence, asthma control, and Emergency Department (ED) use. Methods: This study is a cross-sectional secondary data analysis from a randomized controlled trial with urban adolescents from three U.S. cities. Participants (12-20 years old) with asthma completed the Perceived Family Support Scale (PFS) and Horne’s Medication Adherence Report Scale (MARS). Data from both tools were classified into 2 categories- high and low (< 25th percentile) perceived family support and high (total score >10) and low medication adherence, respectively. Chi-square statistic and logistic regression were used for analysis. Results: Of the 371 participants, the majority were young (96% ≤ 17 years), African American or Bi-racial (85%), and Medicaid-insured (72%); over one-third had maternal family history of asthma. Among those on a controller medication (n = 270), only 37% reported its use ≥8 days over 2 weeks. Asthma control was poor with 50% categorized “not well controlled,” 34% “very poorly controlled.” Participants responded positively to most social support items. One item, providing and receiving social support to and from family members, was less often positively reported. Low medication adherence was significantly associated with lower perceived social support (p = 0.018). Conclusion: This study underscores the importance of family social support in understanding the extent of adolescents’ self-management, particularly medication adherence.
KW - Asthma
KW - adolescents
KW - asthma control
KW - family social support
KW - medication adherence
KW - self-management
KW - social support
KW - urban adolescents
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U2 - 10.1080/02770903.2019.1698601
DO - 10.1080/02770903.2019.1698601
M3 - Article
C2 - 31771375
AN - SCOPUS:85076097698
SN - 0277-0903
VL - 58
SP - 386
EP - 394
JO - Journal of Asthma
JF - Journal of Asthma
IS - 3
ER -